Blood Pressure Tracking Log
ADVERTISEMENT
1
2High Blood Pressure
180
170
How am I doing?
160
150
Blood Pressure Goals
139
Systolic (upper number) 139 or less
130
Diastolic (lower number) 89 or less
My Blood Pressure
120
Today’s Date:_________________
110
Systolic (upper number)_______________
100
High blood
Diastolic (lower number)____________
89
pressure may
affect your:
80
3 Kidneys - increases your risk of kidney failure and need for dialysis
70
3 Heart - increases your risk of heart attacks and heart failure
3 Brain - increases your risk of strokes
60
Keeping your blood pressure under control will keep you healthy and prevent complications
Lifestyle Modifications Chart
Modification
Recommendation
My personal goals
Weight
Maintain normal body weight (body mass index 18.5 - 24.9 kg/m)
reduction
Adopt DASH*
Consume a diet rich in fruits, vegetables, and lowfat dairy products with a
reduced content of saturated total fat
eating plan
Reduce dietary sodium intake to no more than 2.4 g sodium or 6 g sodium
Dietary sodium
chloride per day. If patient ≥ 51 years old, recommended is no more than
reduction
1.5 g sodium per day.
Engage in regular aerobic physical activity such as brisk walking (at least 30
Physical
minutes per day, most days of the week which may be broken into shorter
activity
time intervals such as 10 minutes each of moderate or vigorous effort)
Smoking
Complete smoking cessation is recommended. Discuss nicotine replacement
products with your physician
Cessation
Moderation
Limit consumption to no more than 2 drinks (e.g. 24 oz. beer, 10 oz. wine, or
of alcohol
3 oz. 80-proof whiskey) per day in most men, and to no more than 1 drink
consumption
per day in women and lighter weight persons
*DASH - Dietary Approaches to Stop Hypertension
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Medical